Individual
CODY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 885-9905
Mailing address
48 BRAMHALL ST APT 3, PORTLAND, ME 04102-3483
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
68219
ME
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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